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目的对临床上使用无创呼吸机进行慢性阻塞性肺疾病合并呼吸衰竭的治疗的疗效做观察探讨,以期为该疾病病的临床治疗提供有实际意义的指导。方法选择笔者所在医院2009年1月—2012年1月接受治疗的慢性阻塞性肺疾病合并呼衰病患50例,将其随机分成治疗组与观察组,两组都采用抗感染、化痰、平喘等常规治疗,治疗组在此基础上加用无创呼吸机辅助通气。结果治疗组的病患各种临床指标全部有所改善,而且与观察组相对效果更好,两组差异有统计学意义(P<0.05)。结论采用无创呼吸机与常规方法相结合的策略进行慢性阻塞性肺疾病合并呼吸衰竭的治疗,可以有效纠正氧和二氧化碳潴留,有效缩减住院治疗时间。
Objective To observe the clinical effect of noninvasive ventilator on the treatment of chronic obstructive pulmonary disease combined with respiratory failure, in order to provide practical guidance for the clinical treatment of this disease. Methods Fifty patients with chronic obstructive pulmonary disease and respiratory failure who were treated in our hospital from January 2009 to January 2012 were randomly divided into treatment group and observation group. Both groups were treated with anti-infective, phlegm, Asthma and other conventional treatment, the treatment group on the basis of non-invasive ventilator-assisted ventilation. Results All the clinical indexes of patients in the treatment group all improved, and the relative effect was better with the observation group, the difference between the two groups was statistically significant (P <0.05). Conclusion The combination of noninvasive ventilator and conventional methods for the treatment of chronic obstructive pulmonary disease combined with respiratory failure can effectively correct the oxygen and carbon dioxide retention, effectively reduce the length of hospitalization.